HomeMy WebLinkAboutBuilding Permit 09-0096
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CITY OF PRIOR LAKE BUILDING PERMIT, m[E @ [E~atW~c~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE MAR 1 ~ 2009 11
AND UTILITY CONNECTION PERMIT
File
City
Applicant
I White
Pink
Yellow
PH6RSfl/J/ Me:rtDOvJ
/7054-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER PAT FRIEDGES CONSTR.
(Company Name)_ 612-490-8698
_ 21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
(Phone)
(Phone)
(Contact Name)
(Address)
ORe-Siding OLower Level Finish
o Fireplilce
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing.
OAdditlOn OAlteriltion OUtility connectn
CODE: DI.R.C. DI.B.C. 0 MIse
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have hlrnIshed Information on this apphcatton which IS to the best of my knowledge true and correct. I also certtty that I am the owner or authonzed agent t"r the
above-mentlOned property and that all Cl structlOn WIll con' rm to all eXlStmg state and local laws and will proceed in accordance with submItted plans 1 am aware that the buildIng
official can revoke thIS permIt for Just ca s F ermo. hereby agree that the CIty official or a deSIgnee may enter upon the property to pert()rm needed mspectlllns
x
Contrilctor's License No
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
Builder's Deposit
Other
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Buildll1!! Ofliclal
Date
By
Dilte
$
$
$
$
$
$
$
$
$
ThIS IS to ccrtity that the request in the abuve application and accompanYIng documents is in accordance with the City Zuning Ordinance and may proceed as requested Tim document
when signed by the City Planner cnnstltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate OfOccllpancy mllst be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any